JADE MICHAEL OBERG – Certified Registered Nurse Anesthetist, NPI 1154671279

JADE MICHAEL OBERG is a healthcare provider. based in Golden valley, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 0411 (MN). The NPI Number for JADE MICHAEL OBERG is 1154671279

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
JADE MICHAEL OBERG
NPI
1154671279
Phone
(763) 354-9670
Address
756 WISCONSIN AVE N
Enumeration Date
17 September 2012
Last Update Date
8 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529935000
Graduation Year
2012 (14 years ago)
PAC ID
3274779566
Group Practice PAC ID
7315840063
Professional Enrollment ID
I20130410000499
Address ID
MN554264702ST6500XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

Provider Addresses for JADE MICHAEL OBERG

  • 756 WISCONSIN AVE N

    GOLDEN VALLEY, MN 554274267

    Phone: (763) 354-9670

    Type: Mailing

  • 8170 33RD AVE S # MS 2110Q

    BLOOMINGTON, MN 554254516

    Phone:

    Type: Mailing

  • 6500 EXCELSIOR BLVD

    ST LOUIS PARK, MN 554264702

    Phone: (952) 993-5222

    Fax: (952) 993-6499

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-04-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130410000499ICertified Registered Nurse Anesthetist (Crna)MNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 55427)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315840063View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

Is there an official ID for JADE MICHAEL OBERG in U.S. healthcare records?
The official identifier for JADE MICHAEL OBERG is NPI 1154671279.
Would JADE MICHAEL OBERG appear as active to a payer?
You can treat JADE MICHAEL OBERG as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JADE MICHAEL OBERG?
At a glance, JADE MICHAEL OBERG is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JADE MICHAEL OBERG?
Travel planning: use Golden Valley, Minnesota as the reference point for JADE MICHAEL OBERG, then confirm.
Does JADE MICHAEL OBERG accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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